DR. THEODORE COATANY JOHNSON (NPI# 1972661494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972661494 |
| Entity Type | Individual |
| Full Name | DR. THEODORE COATANY JOHNSON |
| Credential | DMD |
| Practice Address |
4855 Ward Rd Suite 700 Wheat Ridge CO 80033 |
| Practice Telephone | 3034228748 |
| Practice Fax Number | 3032395599 |
| Mailing Telephone | 3034228748 |
| Mailing Fax Number | 3032395599 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 106326 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1396983540 | Theodore Robert Johnson | Registered Nurse | 15315 W Hearn Rd, Surprise, AZ 85379-7068 | 2009-01-27 |
| 1255453759 | Theodore Samuel Johnson | Pediatrics | 1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912 | 2007-04-04 |
| 1982722625 | Theodore J Johnson | Specialist | 2132 44th Ave Sw, Seattle, WA 98116-2102 | 2007-03-27 |
| 1326099227 | Theodore Stanley Johnson | Anesthesiology | Dept. # 1029, Denver, CO 80263-0001 | 2006-05-15 |
| 1144606724 | Theodore Johnson | Behavioral Analyst | 2300 W Sahara Ave, Suite 800, Las Vegas, NV 89102-4352 | 2015-08-05 |
| 1417000282 | Theodore Leroy Johnson | Audiologist | 177 Franklin Corner Rd, Ste. 1b, Lawrenceville, NJ 08648-2548 | 2007-01-18 |
| 1356446777 | Theodore Martin Johnson | Psychologist | 500 Lilly Rd Ne, #205, Olympia, WA 98506-5195 | 2006-09-13 |
| 1306953591 | Theodore Lybarger Johnson | Dentist | 555 B Street, Springfield, OR 97477 | 2006-08-24 |
| 1265494983 | Theodore Michael Johnson II | Internal Medicine | 1365 Clifton Rd Ne, Atlanta Va Medical Center, 508/11b, Atlanta, GA 30322-1013 | 2006-04-06 |
| Street Address |
4855 WARD RD SUITE 700 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356536353 | Northwest Eye Center PC | Ophthalmology | 4855 Ward Rd, Suite 500, Wheat Ridge, CO 80033-1951 | 2007-09-12 |
| 1619181203 | Nolan Hathaway | Internal Medicine | 4855 Ward Rd, Wheat Ridge, CO 80033-1951 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790310951 | Applewood Modern Dentistry, LLP | Dentist | 3244 Youngfield St Unit H, Wheat Ridge, CO 80033-5276 | 2020-03-09 |
| 1083192983 | Wheat Ridge Dentists, LLP | Dentist | 3727 Wadsworth Blvd Ste 122, Wheat Ridge, CO 80033-4661 | 2018-08-02 |
| 1588164735 | Christopher Adkins | Dentist | 4350 Wadsworth Blvd Ste 410, Wheat Ridge, CO 80033-4638 | 2018-02-14 |
| 1205252905 | Edward Sherlock | Dentist | 8850 W 38th Ave Ste C, Wheat Ridge, CO 80033-4245 | 2014-03-05 |
| 1588909394 | Just Wisdom Teeth Wheat Ridge | Dentist | 10160 W 50th Ave Unit 1, Wheat Ridge, CO 80033 | 2012-12-05 |
| 1114172699 | Travis Rust | Dentist | 3815 Wadsworth Blvd, Wheat Ridge, CO 80033-4612 | 2008-11-25 |
| 1841479102 | Leon Jon Brodie | Dentist | 4275 Wadsworth Blvd, Wheat Ridge, CO 80033-4601 | 2007-11-02 |
| 1508070400 | Christopher James Heiny | Dentist | 7900 W 44th Ave Ste 106, Wheat Ridge, CO 80033-4563 | 2007-05-09 |
| 1689886277 | Susan Elizabeth Caspers | Dentist | 3785 Kipling St, Wheat Ridge, CO 80033-5700 | 2007-05-04 |
| 1942360458 | Louis Anthony Derose | Dentist | 3805 Marshall St, Suite 300, Wheat Ridge, CO 80033 | 2006-12-12 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.